Kusamba kwa msambo - koyambirira

Kusapezeka kwa msambo wa mkazi mwezi ndi mwezi kumatchedwa amenorrhea.

Amenorrhea woyambirira ndi pamene mtsikana sanayambe kusamba mwezi, ndipo iye:

• Wakhala akusintha zina zomwe zimachitika munthu akatha msinkhu
• Ndi wamkulu kuposa 15

Atsikana ambiri amayamba msambo azaka zapakati pa 9 ndi 18. Wapakati amakhala azaka pafupifupi 12. Ngati palibe msinkhu woti mtsikana waposa zaka 15, kumayesanso kumkafunika. Chosowacho ndi chofunikira kwambiri ngati zasintha zina ndi zina zomwe zimachitika munthu akatha msinkhu.

Kubadwa ndi ziwalo zoberekera zosakwanira kapena ziwalo zam'mimba kumatha kubweretsa kusamba kwa msambo. Zina mwazolakwika izi ndi izi:

• Kutseka kapena kuchepa kwa khomo pachibelekeropo
• Amuna omwe alibe kutsegula
• Chiberekero kapena nyini yosowa
• Nyini septum (khoma lomwe limagawa nyini m'magawo awiri)

Mahomoni amatenga gawo lalikulu pakusamba kwa amayi. Mavuto a mahomoni amatha kuchitika ngati:

• Zosintha zimachitika m'malo amubongo momwe mahomoni omwe amathandizira kuthana ndi msambo amapangidwa.
• Thumba losunga mazira silikugwira ntchito moyenera.

Amodzi mwamavutowa atha kukhala chifukwa cha:

• Anorexia (kusowa kwa njala)
• Matenda osachiritsika kapena okhalitsa, monga cystic fibrosis kapena matenda amtima
• Zolakwika kapena zovuta
• Matenda omwe amapezeka m'mimba kapena atabadwa
• Zowonongeka zina zobadwa
• Chakudya choperewera
• Zotupa

Nthawi zambiri, chifukwa cha amenorrhea yoyamba sichidziwika.

Mkazi yemwe ali ndi amenorrhea sakhala ndi msambo. Amatha kukhala ndi zizindikilo zina zakutha msinkhu.

Wopereka chithandizo chamankhwala ayesa thupi kuti aone ngati ali ndi vuto lobereka kapena nyini.

Woperekayo adzafunsa mafunso okhudza:

• Mbiri yanu yazachipatala
• Mankhwala ndi zowonjezera zomwe mwina mukumwa
• Momwe mumachita masewera olimbitsa thupi
• Kudya kwanu

Kuyezetsa mimba kudzachitika.

Kuyesedwa kwamagazi kuti muyese milingo yosiyanasiyana ya mahomoni kungaphatikizepo:

• Estradiol
• FSH
• LH
• Prolactin
• 17 hydroxyprogesterone
• Seramu progesterone
• Mlingo wa testosterone wa Seramu
• TSH
• T3 ndi T4

Mayesero ena omwe angachitike ndi awa:

• Chromosome kapena kuyesa majini
• Mutu wa CT CT kapena mutu wa MRI kuti muwone zotupa zaubongo
• Pelvic ultrasound kuti ayang'ane zolephera

Chithandizo chimadalira chifukwa chakusowa. Kusasowa kwa nthawi komwe kumayambitsidwa ndi zolepheretsa kubadwa kungafune mankhwala a mahomoni, opaleshoni, kapena zonse ziwiri.

Ngati amenorrhea imayamba chifukwa cha chotupa muubongo:

• Mankhwala amatha kuchepetsa zotupa zina.
• Kuchita opaleshoni kuchotsa chotupacho kungafunikirenso.
• Mankhwala a radiation amachitika kokha ngati mankhwala ena sanagwire ntchito.

Ngati vutoli limayambitsidwa ndi matenda amachitidwe, chithandizo cha matendawa chimatha kuloleza kusamba.

Ngati chifukwa chake ndi bulimia, anorexia kapena kuchita masewera olimbitsa thupi kwambiri, nthawi zimayamba nthawi yomwe kulemera kumabwerera mwakale kapena kuchuluka kwa zolimbitsa thupi kwatsika.

Ngati amenorrhea singakonzeke, mankhwala a mahomoni nthawi zina amatha kugwiritsidwa ntchito. Mankhwala amathandiza mayiyo kuti azimva ngati abwenzi ake komanso abale ake. Amathanso kuteteza mafupa kuti asakhale owonda kwambiri (kufooka kwa mafupa).

Maganizo amatengera zomwe zimayambitsa amenorrhea komanso ngati ingakonzedwe ndi mankhwala kapena kusintha kwa moyo.

Nthawi siziyenera kuyamba zokha ngati amenorrhea idayambitsidwa ndi izi:

• Zolepheretsa kubadwa kwa ziwalo zachikazi
• Craniopharyngioma (chotupa pafupi ndi vuto la pituitary kumapeto kwa ubongo)
• Cystic fibrosis
• Matenda a chibadwa

Mutha kukhala ndi nkhawa chifukwa mumakhala osiyana ndi anzanu kapena abale. Kapenanso, mungakhale ndi nkhawa kuti mwina simungakhale ndi ana.

Itanani yemwe akukuthandizani ngati mwana wanu wamwamuna wazaka zopitilira 15 ndipo sanayambe kusamba, kapena ngati ali ndi zaka 14 ndipo sakuwonetsanso zizindikiro zina zotha msinkhu.

Amenorrhea yoyamba; Palibe nthawi - zoyambira; Nthawi zopanda pake - zoyambirira; Kutaya nthawi - pulayimale; Kusowa kwa nthawi - koyambirira

• Amenorrhea chachikulu
• Thupi labwinobwino la chiberekero (gawo lodulidwa)
• Kutaya msambo (amenorrhea)

Bulun SE. Physiology ndi matenda amtundu woberekera wamkazi. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 17.

Lobo RA. Amenorrhea oyambira ndi apamwamba komanso kutha msinkhu msanga: etiology, kuwunika matenda, kuwongolera. Mu: Lobo RA, Gershenson DM, Lentz GM, Valea FA, olemba. Gynecology Yambiri. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 38.

Magowan BA, Owen P, Thomson A. Kusamba kwanthawi zonse komanso amenorrhoea. Mu: Magowan BA, Owen P, Thomson A, eds. Zachipatala Obstetrics ndi Gynecology. Wolemba 4. Zowonjezera; 2019: chaputala 4.